Morton's neuroma history and symptoms

Morton’s neuroma is most commonly located at the third intermetatarsal space, with other sites being involved including second or fourth interspaces, at the bifurcation of the fourth plantar digital nerve and fifth interspace rarely. Patient complaints of feeling like ”walking on a marble”. Most common symptom of morton’s neuroma includes persistent pain on weight bearing affecting the contiguous halves of two toes, with the nature of pain being shooting, burning, stabbing, raw, gnawing or sickening sensations. Other symptoms may include numbness, parasthesia, dysesthesia, functional impairment and psychological distress associated with severe decrease in the quality of life.

Usually located at the following sites:

• Third intermetatarsal space most commonly (between third and fourth metatarsals)
• Second or fourth interspaces
• At the bifurcation of the fourth plantar digital nerve
• Fifth interspace (rarely)

(first toe is usually not involved)

Symptoms of morton’s neuroma include:^[1]

• Feeling like ”walking on a marble” or a pebble in the shoe or bunched-up/creased sock
• Most common symptom is pain in the affected area caused by pressure on the enlarged section of nerve where it passes between the metatarsal heads, and is squeezed between them
• Pain is persistent & has the following characteristics:
  • Occurs mostly on weight bearing while walking or wearing shoes that squeeze the feet
  • Occurs frequently after only a short time
  • Affects the contiguous halves of two toes
  • Pain tends to ease off at the night time
  • Nature of pain maybe any of the following:
    • Shooting
    • Burning
    • Stabbing
    • Raw
    • Gnawing
    • Sickening sensations
• Numbness
• Parasthesia
• Dysesthesia (painful hypersensitivity to normal light tactile stimuli)
• Functional impairment
• Psychological distress (severely decreasing the quality of life)

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